Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04974 | Date 30/04/2019 |
| Token No | SM/19-20/16730 16/01/2020 | Serial | 009 Last Visit: 15/03/2023 |
| Patient Name | Mr. SUKUMAR BARMAN | Contact No | 9331721026 |
| Address | 18/E CHATRA CHOWDHURY PARA BYE LANE SERAMPORE | Age | 53 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||